Club Futsal Championship - Registration Form
Full details can be found at: www.olefutsal.com.au/cfc
Player Name
*
First Name
Last Name
Date of Birth
*
-
Day
-
Month
Year
Date
What's your age group for this competition?
Under 8 Born in 2018/17)
Under 10 (Born in 2016/15)
Under 12 (Born in 2014/13)
Under 14 (Born in 2012/11)
Gender
*
Male
Female
Parent Name
*
First Name
Last Name
Mobile Number
*
Email
*
example@example.com
Fees: $245 (payment request will be texted/emailed via Stripe)
*
Pay Upfront (5% discount): $233
Two Instalments: $125 each
Is your child injury free & fit to participate
*
Yes
No
By selecting "Yes", I acknowledge that the information provided is true and correct. I also commit to paying the fees and attending the event days as per the details on the website.
*
Yes
No
Submit
Should be Empty: